Is Obesity a Disease? Experts Say “It Depends” ๐Ÿค”

Is obesity a disease? This question has sparked heated debates ๐Ÿ”ฅ among health professionals, activists, and patients. A new report by a global panel of health experts aims to redefine obesity, splitting it into two categories ๐Ÿงฉ and proposing more accurate diagnostic methods.

(File photo: Reuters)

The Controversy: Is Obesity Always an Illness? ⚖️

More than a billion people ๐ŸŒ live with obesity. For years, the condition has been associated with severe health risks like Type 2 diabetes ๐Ÿฉธ, heart disease ❤️, and certain cancers ๐ŸŽ—️. That’s why organizations like the World Health Organization label obesity as a “chronic complex disease.”

However, not everyone with obesity faces these health challenges. Many live active, healthy lives ๐Ÿƒ‍♂️๐ŸŒŸ despite their weight. This has fueled movements against fat shaming ✊ and calls to avoid labeling all individuals with obesity as unwell.

The controversy raises important questions: Should obesity always be considered a disease, or should it be evaluated on a case-by-case basis?

A Middle Ground: Introducing “Clinical Obesity” ๐Ÿฉบ

After years of debate, an expert commission led by Francesco Rubino, a bariatric surgeon and professor at King’s College London, has proposed a compromise ๐Ÿค. They’ve introduced two distinct categories:

  1. Clinical Obesity: When obesity significantly impacts organ function, causing issues like heart problems ❤️, sleep apnea ๐Ÿ’ค, or joint pain ๐Ÿฆต, it qualifies as a distinct illness.
  2. Pre-Clinical Obesity: For individuals with obesity who don’t experience these complications, the condition should be monitored ๐Ÿ‘€ rather than treated medically.

This approach aims to avoid overdiagnosis ⚠️ while ensuring that those who need medical care receive it.

Moving Beyond BMI ๐Ÿ“Š

Traditional measures like body mass index (BMI) have long been criticized ❌ for their inadequacy in diagnosing obesity. The experts recommend more precise methods ✅, such as waist circumference, waist-to-hip ratio, and bone density scans, to determine a person’s health status.

Reactions to the Recommendations ๐ŸŽญ

The report has received mixed responses.

  • Supporters: Some experts, like Tom Sanders of King’s College London, believe these recommendations could help combat discrimination ๐Ÿšซ๐Ÿคฌ and social stigma by officially recognizing clinical obesity as a disability ♿.
  • Critics: Patient advocates like Anne-Sophie Joly argue the recommendations fail to address the real-world struggles ๐ŸŒŽ of individuals with obesity, such as inadequate care and systemic bias.

Psychologist Sylvie Benkemoun echoed this sentiment, expressing doubt that the proposals would lead to meaningful change ๐Ÿ”„ in how caregivers treat obesity.

Why This Debate Matters ๐Ÿ’ก

The debate over whether obesity is a disease transcends medicine—it touches on public health policies ๐Ÿ›️, societal attitudes ๐ŸŒŸ, and personal well-being ❤️. While the commission’s recommendations provide a foundation for nuanced discussions, they also highlight the complexity ๐Ÿค” of addressing a condition as multifaceted as obesity.

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